RESUMEN
Autism spectrum disorders (ASDs) are characterized by core behavioral symptoms in the domains of sociability, language/communication, and repetitive or stereotyped behaviors. Deficits in the prefrontal and hippocampal excitatory/inhibitory balance due to a functional loss of GABAergic interneurons are proposed to underlie these symptoms. Increasing the postsynaptic effects of GABA with compounds that selectively modulate GABAergic receptors could be a potential target for treating ASD symptoms. In addition, deficits in GABAergic interneurons have been linked to dopamine (DA) system dysregulation, and, despite conflicting evidence, abnormalities in the DA system activity may underly some ASD symptoms. Here, we investigated whether the positive allosteric modulator of α5-containing GABAA receptors (α5-GABAARs) SH-053-2'F-R-CH3 (10 mg/kg) attenuates behavioral abnormalities in rats exposed to valproic acid (VPA) in utero, an established risk factor for autism. We also evaluated if animals exposed to VPA in utero present changes in the ventral tegmental area (VTA) DA system activity using in vivo electrophysiology and if SH-053-2'F-R-CH3 could attenuate these changes. SH-053-2'F-R-CH3 was administered intraperitoneally 30 min before each behavioral test and electrophysiology. In utero VPA exposure caused male and female rats to present increased repetitive behavior (self-grooming) in early adolescence and deficits in social interaction in adulthood. Male, but not female VPA rats, also presented deficits in recognition memory as adults. SH-053-2'F-R-CH3 attenuated the impairments in sociability and cognitive function in male VPA-exposed rats without attenuating the decreased social interaction in females. Adult male and female VPA-exposed rats also showed an increased VTA DA neuron population activity, which was not changed by SH-053-2'F-R-CH3. Despite sex differences, our findings indicate that α5-GABAARs positive allosteric modulators may effectively attenuate some core ASD symptoms.
Asunto(s)
Efectos Tardíos de la Exposición Prenatal , Receptores de GABA-A , Conducta Social , Ácido Valproico , Animales , Femenino , Ácido Valproico/farmacología , Ratas , Masculino , Embarazo , Receptores de GABA-A/efectos de los fármacos , Dopamina/metabolismo , Trastorno del Espectro Autista/inducido químicamente , Área Tegmental Ventral/efectos de los fármacos , Área Tegmental Ventral/fisiopatología , Ratas Sprague-Dawley , Regulación Alostérica/efectos de los fármacos , Modelos Animales de Enfermedad , Conducta Animal/efectos de los fármacos , Disfunción Cognitiva/inducido químicamente , Disfunción Cognitiva/fisiopatologíaRESUMEN
Home office (HO) stands out as one of the most promising and popular forms of teleworking, especially after the COVID-19 pandemic. Therefore, many companies want to implement or maintain this working method, given its numerous advantages. However, there are adverse effects that are mainly related to physical and mental health. This article presents ergonomic analyses of HOs in neighborhoods considered heat islands. Temperature levels, extreme low-frequency non-ionizing radiation (ELF-NIR), illuminance, physical layout characteristics, and physiological parameters of teleworkers were measured. The results reveal that 92% of these professionals work 6 to 8 h daily with an ambient temperature between 25 and 30 °C, illumination levels in the range 11.20-290 Lux, and ELF-NIR > 0.4 µT. The majority of teleworkers are overweight (BMI > 24.9), and some of them have blood pressure higher than average values (129 mmHg for systolic and 84 mmHg for diastolic) in addition to a reduction in the number of red blood cells and hematocrits. Symptoms such as burning sensation, dryness, tired eyes, redness, itching, and photophobia (light sensitivity) show a 68.95% similarity. These HOs do not meet the required ergonomic and health standards.
Asunto(s)
COVID-19 , Ergonomía , Teletrabajo , Brasil , Humanos , Adulto , Masculino , Femenino , Persona de Mediana Edad , SARS-CoV-2RESUMEN
Depression will be the disease with the highest incidence worldwide by 2030. Data indicate that postmenopausal women have a higher incidence of mood disorders, and this high vulnerability seems to be related to hormonal changes and weight gain. Although research evaluating the profile of metabolites in mood disorders is advancing, further research, maintaining consistent methodology, is necessary to reach a consensus. Therefore, the objective of the present study was to carry out an exploratory analysis of the plasma polar metabolites of pre- and postmenopausal women to explore whether the profile is affected by depression. The plasma analysis of 50 polar metabolites was carried out in a total of 67 postmenopausal women, aged between 50 and 65 years, either without depression (n = 25) or with depression symptoms (n = 42), which had spontaneous onset of menopause and were not in use of hormone replacement therapy, insulin, or antidepressants; and in 42 healthy premenopausal women (21 without depression and 21 with depression symptoms), aged between 40 and 50 years and who were not in use of contraceptives, insulin, or antidepressants. Ten metabolites were significantly affected by depression symptoms postmenopause, including adenosine (FDR = 3.778 × 10-14), guanosine (FDR = 3.001 × 10-14), proline (FDR = 1.430 × 10-6), citrulline (FDR = 0.0001), lysine (FDR = 0.0004), and carnitine (FDR = 0.0331), which were down-regulated, and dimethylglycine (FDR = 0.0022), glutathione (FDR = 0.0048), creatine (FDR = 0.0286), and methionine (FDR = 0.0484) that were up-regulated. In premenopausal women with depression, oxidized glutathione (FDR = 0.0137) was down-regulated, and dimethylglycine (FDR = 0.0406) and 4-hydroxyproline (FDR = 0.0433) were up-regulated. The present study provided new data concerning the consequences of depression on plasma polar metabolites before and after the establishment of menopause. The results demonstrated that the postmenopausal condition presented more alterations than the premenopausal period and may indicate future measures to treat the disturbances involved in both menopause and depression.
RESUMEN
Mangrove canopy height (MCH) has been described as a leading characteristic of mangrove forests, protecting coastal economic interests from hurricanes. Meanwhile, winter temperature has been considered the main factor controlling the MCH along subtropical coastlines. However, the MCH in Cedar Key, Florida (â¼12 m), is significantly higher than in Port Fourchon, Louisiana (â¼2.5 m), even though these two subtropical locations have similar winter temperatures. Port Fourchon has been more frequently impacted by hurricanes than Cedar Key, suggesting that hurricanes may have limited the MCH in Port Fourchon rather than simply winter temperatures. This hypothesis was evaluated using novel high-resolution remote sensing techniques that tracked the MCH changes between 2002 and 2023. Results indicate that hurricanes were the limiting factor keeping the mean MCH at Port Fourchon to <1 m (2002-2013), as the absence of hurricane impacts between 2013 and 2018 allowed the mean MCH to increase by 60 cm despite the winter freezes in Jan/2014 and Jan/2018. Hurricanes Zeta (2020) and Ida (2021) caused a decrease in the mean MCH by 20 cm, breaking branches, defoliating the canopy, and toppling trees. The mean MCH (â¼1.6 m) attained before Zeta and Ida has not yet been recovered as of August 2023 (â¼1.4 m), suggesting a longer-lasting impact (>4 years) of hurricanes on mangroves than winter freezes (<1 year). The high frequency of hurricanes affecting mangroves at Port Fourchon has acted as a periodic "pruning," particularly of the tallest Avicennia trees, inhibiting their natural growth rates even during quiet periods following hurricane events (e.g., 12 cm/yr, 2013-2018). By contrast, the absence of hurricanes in Cedar Key (2000-2020) has allowed the MCH to reach 12 m (44-50 cm/yr), implying that, besides the winter temperature, the frequency and intensity of hurricanes are important factors limiting the MCH on their latitudinal range limits in the Gulf of Mexico.
Asunto(s)
Tormentas Ciclónicas , Humedales , Golfo de México , Florida , Monitoreo del Ambiente/métodos , Louisiana , Estaciones del Año , RhizophoraceaeRESUMEN
The brain extracellular matrix (ECM) has garnered increasing attention as a fundamental component of brain function in a predominantly "neuron-centric" paradigm. Particularly, the perineuronal nets (PNNs), a specialized net-like structure formed by ECM aggregates, play significant roles in brain development and physiology. PNNs enwrap synaptic junctions in various brain regions, precisely balancing new synaptic formation and long-term stabilization, and are highly dynamic entities that change in response to environmental stimuli, especially during the neurodevelopmental period. They are found mainly surrounding parvalbumin (PV)-expressing GABAergic interneurons, being proposed to promote PV interneuron maturation and protect them against oxidative stress and neurotoxic agents. This structural and functional proximity underscores the crucial role of PNNs in modulating PV interneuron function, which is critical for the excitatory/inhibitory balance and, consequently, higher-level behaviours. This review delves into the molecular underpinnings governing PNNs formation and degradation, elucidating their functional interactions with PV interneurons. In the broader physiological context and brain-related disorders, we also explore their intricate relationship with other molecules, such as reactive oxygen species and metalloproteinases, as well as glial cells. Additionally, we discuss potential therapeutic strategies for modulating PNNs in brain disorders.
Asunto(s)
Interneuronas , Parvalbúminas , Parvalbúminas/metabolismo , Interneuronas/metabolismo , Matriz Extracelular/metabolismo , Neuronas/metabolismo , Encéfalo/metabolismoRESUMEN
ABSTRACT BACKGROUND AND OBJECTIVES: Sickle cell disease is considered the most common hereditary disorder in Brazil. The chronic pain resulting from some complications of sickle cell disease is still poorly understood, inadequately described, and under-researched. This study aimed to characterize chronic pain in individuals with sickle cell disease, evaluate its treatment, and discuss the importance of studying it as a distinct pathology. METHODS: A cross-sectional study based on comparative analysis between two associations of sickle cell disease patients, one in Brazil and the other in France. The Pain Detect Questionnaire was used to assess neuropathic pain, and Odds Ratio was used to evaluate the strength of the association between opioid use and the recurrence of chronic painful crises. RESULTS: In Brazil, the Pain Detect questionnaire revealed that 55% of patients had a probable neuropathic component, 23% negative, and 22% uncertain. In France, the application resulted in 51% for probable presence, 29% for negative, and 20% for uncertain. All patients reported constant pain. As for the frequent use of opioids, the results were 62% in Brazil and 32% in France. The Odds Ratio calculation results were: OR 15.14 (95% CI = 4.777- 41.4, p < 0.0001) in Brazil; and OR 7.5 (95% CI = 2.121- 25.74, p = 0.0013) in France. CONCLUSION: While it is commonly believed that pain in sickle cell disease is primarily related to somatic and visceral tissue damage after vaso-occlusive events, this study indicated emerging evidence of neuropathic processes involved. Thus, there should be a significant concern about the management of chronic pain and particularly opioid dependence in Brazil.
RESUMO JUSTIFICATIVA E OBJETIVOS: Dentre as alterações hereditárias, a doença falciforme é considerada a mais comum no Brasil. A dor crônica decorrente de suas complicações ainda é mal compreendida, inadequadamente descrita e pouco pesquisada. O presente estudo teve como finalidade caracterizar a dor crônica em indivíduos com doença falciforme, avaliar o seu tratamento e discutir a importância de seu estudo como uma doença em si. METODOS: Estudo transversal, baseado na análise comparativa entre duas associações de indivíduos acometidos pela doença falciforme, com sede no Brasil e na França. Foi aplicado o questionário Pain Detect para avaliação da dor neuropática e a Odds Ratio para avaliar a intensidade de associação entre o uso de opioides e a recorrência de crises álgicas de cunho crônico. RESULTADOS: O questionário Pain Detect apontou que no Brasil 55% de pacientes da doença calciforme apresentam componente neuropático provável, 23% negativo e 22% incerto. Na França, os resultaram foram de 51% para componente provável, 29% negativo e 20% incerto. Dos acometidos pela doença, 100% relataram dores constantes, sendo que fizeram uso frequente de opioides 62% no Brasil e 32% na França. O cálculo do Odds Ratio apontou os seguintes resultados: OR 15,14 (IC 95% = 4,777- 41,4, p < 0,0001) no Brasil; e OR 7,5 (IC 95% = 2,121- 25,74, p = 0,0013) na França. CONCLUSÃO: Embora haja uma crença de que a dor na doença falciforme seja primariamente relacionada à lesão tecidual a nível somático e visceral após os eventos vasoclusivos, o estudo apontou evidências emergentes de processos neuropáticos envolvidos. Assim, deve haver uma preocupação quanto ao manejo da dor crônica e em especial à dependência química pelos opioides no Brasil.
RESUMEN
OBJECTIVE: to synthesize evidence from qualitative studies on nursing experiences regarding child and adolescent mental health care in specialized services. METHOD: a systematic review with meta-synthesis of qualitative studies according to JBI guidelines. CINAHL, EMBASE, MEDLINE, LILACS, PSYCinfo, Scopus and Web of Science databases were used. The findings were classified according to the level of reliability and credibility and categorized by similarity between contents. RESULTS: 229 articles were identified, and five were included in the final sample and organized into the categories: Emotional impact; and Understanding nursing role. The level of evidence found was moderate. FINAL CONSIDERATIONS: nursing experiences are permeated by emotional exhaustion, feelings of frustration and difficulty in understanding their professional role. The need for training spaces that qualify this care is highlighted.
Asunto(s)
Salud del Adolescente , Salud Infantil , Salud Mental , Adolescente , Niño , Humanos , Emociones , Rol de la Enfermera , Investigación Cualitativa , Reproducibilidad de los Resultados , Enfermería , Trastornos Mentales/enfermeríaRESUMEN
Obesity and depression, disorders associated with inflammation, have high incidences in women. Understanding the derangements present in the initial phase of obesity may point to factors that could help avoiding disease aggravation. The present study aimed at investigating the effects of a 6-months interdisciplinary therapy for weight loss in women with grade I obesity. Before and after the therapy, 37 middle-aged women donated blood and responded to questionnaires for depression and anxiety symptoms. Inflammatory parameters were evaluated in serum and a preliminary screening of the plasma proteome was performed. The therapy decreased anthropometric, psychological scores, and serum levels of inflammatory parameters. Depression and anxiety scores correlated positively with some inflammatory parameters. The proteomic analysis showed changes in proteins related to cholesterol metabolism and inflammatory response. Interdisciplinary therapy improves anthropometric and inflammatory statuses and ameliorating psychological symptoms. The decrease of MCP-1 levels after interdisciplinary therapy has not been reported so far, at the best of our knowledge. The present demonstration of positive associations of inflammatory markers and psychological scores indicate that these mediators may be useful to monitor psychological status in obesity. The present proteome data, although preliminary, pointed to plasma alterations indicative of improvement of inflammation after interdisciplinary therapy.
Asunto(s)
Proteoma , Proteómica , Persona de Mediana Edad , Humanos , Femenino , Obesidad , Inflamación/terapia , Inflamación/complicaciones , Estilo de VidaRESUMEN
Estudo de delineamento transversal que teve como objetivo descrever o cuidado pré-hospitalar a pacientes hospitalizados com úlcera do pé diabético. Entre junho e dezembro de 2019, 159 pacientes adultos e idosos internados em hospital geral do interior do nordeste1 responderam a um formulário aplicado pela equipe de pesquisa. Questões referentes aos cuidados pré-hospitalares e ao autocuidado, bem como informações sociodemográficas foram coletadas. Medidas de associação foram calculadas através da determinação da razão de chances. As estimativas da associação foram calculadas por pontos e por intervalos com 95% de confiança. Apesar de a maioria dos pacientes relatarem acesso adequado aos itens pesquisados, ficou evidente que o acompanhamento prévio à hospitalização carece de melhoria1. Houve associação positiva entre frequentar regularmente os serviços de saúde (RC 4,2; IC 2,1 8,5), hospitalização anterior (RC 7,1; IC 2,6 19,2), hospitalização anterior pelo diabetes (RC 2,3; IC 1,2 4,5) e ter realizado exames dos pés nos últimos seis meses (RC 2,7; IC 1,4 5,2) com ter recebido orientações em relação aos cuidados com os pés. Conclui-se que a maior parte dos hospitalizados por úlcera do pé diabético não foi corretamente acompanhada antes da sua hospitalização. Sugere-se que uma qualificação da assistência ao paciente diabético na atenção básica contribua para a redução das hospitalizações por complicações da doença.
Cross-sectional study that aimed to describe pre-hospital care for hospitalized patients with diabetic foot ulcers. From June to December 2019, 159 adult and elderly patients admitted in a general hospital in the northeastern interior were interviewed. Questions regarding pre-hospital care, self-care, as well as sociodemographic information were collected. Even though most patients report adequate access to the researched items, it was evident that the pre-hospitalization follow-up needs improvement. There was a positive association between regularly attending health services (OR 4,2; CI 2,1 8,5), previous hospitalizations (OR 7,1; CI 2,6 19,2), previous hospitalization for diabetes (OR 2,3; CI 1,2 4,5) and performing foot examinations in the last six months meses (OR 2,7; CI 1,4 5,2) with receiving guidance regarding foot care. It is concluded that most of those hospitalized for diabetic foot ulcers were not properly followed up before their hospitalization. It is suggested that a qualification of assistance to diabetic patients in primary care contributes to the reduction of hospitalizations due to complications of the disease.
Asunto(s)
Atención Primaria de Salud , Pie DiabéticoRESUMEN
The coinfections by some microorganisms have been related to severe diseases in humans and animals, where immunosuppressive agents favor opportunistic behavior of other pathogens. A 4-month-old, female mixed-breed dog with a two-week history of inappetence, prostration, emaciation, and respiratory distress was admitted at a veterinary hospital in Brazil. Tachycardia, pale mucous membranes, severe respiratory distress, and a large number of ticks (Rhipicephalus sanguineus s.l.) in different body regions were observed at clinical examination. Hematological examination of dog showed leukocytosis, neutrophilia, mild anemia, and thrombocytopenia, whereas unremarkable values in biochemical tests. Thoracic radiography revealed a pleural effusion image. Blood and the pleural fluid (purulent aspect) samples were subjected to qPCR (16S rRNA and dsb genes) and sequencing, which identified Ehrlichia canis and Anaplasma platys coinfection. An aggregate of coccoid-to-branching or long filamentous microorganisms, surrounded by pyogranulomatous inflammatory reaction was seen at the cytology of the pleural fluid. Bacteriological culture of pleural effusion showed colonies compatible with the genus Nocardia, which revealed gram-positive filamentous organisms with a tendency of fragmentation and were identified as Nocardia otitidiscaviarum in mass spectrometry (MALDI-TOF MS). Therapy of N. otitidiscaviarum isolate using levofloxacin (supported by a previous in vitro susceptibility testing) and doxycycline for E. canis and A. platys resulted in complete resolution of the clinical picture. Here, we report for the first time a triple coinfection by Nocardia otitidiscaviarum, A. platys, and E. canis in a dog with pleural effusion, where debilitating or immunosuppressive conditions induced by A. platys and E. canis coinfection probably contributed to the opportunistic behavior of N. otitidiscaviarum.
Asunto(s)
Anaplasmosis , Coinfección , Enfermedades de los Perros , Ehrlichiosis , Nocardia , Derrame Pleural , Síndrome de Dificultad Respiratoria , Humanos , Perros , Femenino , Animales , Lactante , Ehrlichia canis/genética , Anaplasmosis/microbiología , Coinfección/veterinaria , Coinfección/microbiología , Ehrlichiosis/veterinaria , Ehrlichiosis/microbiología , ARN Ribosómico 16S/genética , Nocardia/genética , Derrame Pleural/veterinaria , Enfermedades de los Perros/microbiologíaRESUMEN
The misuse of and addiction to opioids are serious public health problems in some countries, such as the USA. Drug addiction is a chronic and relapsing medical condition that involves motivational and memory-related processes due to the strong associations between drugs and consuming-related stimuli. These stimuli usually trigger continuous and compulsive use and are associated with relapses after periods of withdrawal. Several factors contribute to relapse, including withdrawal-induced mood changes. Therefore, drugs attenuating withdrawal-induced affective alterations could be useful alternative treatments for relapse prevention. Cannabidiol (CBD), a non-psychotomimetic component from the Cannabis sativa plant, has anti-anxiety and anti-stress properties and has been investigated as an alternative for the treatment of several mental disorders, including drug addiction. Here, we evaluated if CBD administered 30 min prior to test for a conditioned place aversion (CPA) would attenuate the aversion induced by morphine withdrawal precipitated by the opioid receptor antagonist naloxone in male C57BL/6 mice. We also investigated if this effect involves the activation of 5-HT1A receptors, a mechanism previously associated with CBD anti-aversive effects. As expected, morphine-treated mice spent less time exploring the compartment paired with the naloxone-induced withdrawal, indicating a CPA induced by naloxone-precipitated morphine withdrawal. This effect was not observed in animals treated with CBD, at 30 and 60 mg/kg, prior to the CPA test, indicating that CBD attenuated the expression of CPA induced by naloxone-precipitated morphine withdrawal. Pretreatment with the 5-HT1A receptor antagonist WAY100635 (0.3 mg/kg) blocked CBD effects. Our findings suggest that CBD may reduce the expression of a previously established conditioned aversion induced by morphine withdrawal by a mechanism involving the activation of 5-HT1A receptors. Thus, CBD may be a therapeutic alternative for preventing relapse to opioid addiction by decreasing withdrawal-induced negative affective changes.
Asunto(s)
Cannabidiol , Dependencia de Morfina , Síndrome de Abstinencia a Sustancias , Ratones , Animales , Naloxona/farmacología , Morfina/efectos adversos , Cannabidiol/farmacología , Receptor de Serotonina 5-HT1A , Reacción de Prevención , Síndrome de Abstinencia a Sustancias/metabolismo , Ratones Endogámicos C57BL , Antagonistas de Narcóticos/farmacología , Dependencia de Morfina/tratamiento farmacológico , Dependencia de Morfina/metabolismoRESUMEN
To mitigate floods and storm surges, coastal communities across the globe are under the pressure of high-cost interventions, such as coastal barriers, jetties, and renourishment projects, especially in areas prone to hurricanes and other natural disturbances. To evaluate the effectiveness of these coastal projects in a timely fashion, this methodology is supported by a Geographic Information System that is instaneously fed by regional and local data obtained shortly (24 h) after the disturbance event. Our study assesses the application of 3D models based on aerophotogrammetry from a Phantom 4 RTK drone, following a methodological flowchart with three phases. The Digital Elevation Models (DEMs) based on aerophotogrammetry obtained from a Phantom 4 RTK drone presented a low margin of error (± 5 cm) to dispense Ground Control Points. This technique enables a rapid assessment of inaccessible coastal areas due, for instance, to hurricane impacts. Evaluation of DEMs before and after the disturbance event allows quantifying the magnitudes of shoreline retreat, storm surges, difference in coastal sedimentary volumes, and identifying areas where erosion and sediment accretion occur. Orthomosaics permit the individualization and quantification of changes in vegetation units/geomorphological areas and damages to urban and coastal infrastructure. Our experience monitoring coastal dynamics in North and South America during the last decade indicates that this methodology provides an essential data flow for short and long-term decision-making regarding strategies to mitigate disaster impacts.â¢Permanent and regional monitoring with spatial-temporal analysis based on satellite/aerial images and lidar data prior to the event.â¢Local DEMs based on drone aerophotogrammetry after the event.â¢Integration of regional and local planialtimetric/environmental data.
RESUMEN
ABSTRACT Objective: to synthesize evidence from qualitative studies on nursing experiences regarding child and adolescent mental health care in specialized services. Method: a systematic review with meta-synthesis of qualitative studies according to JBI guidelines. CINAHL, EMBASE, MEDLINE, LILACS, PSYCinfo, Scopus and Web of Science databases were used. The findings were classified according to the level of reliability and credibility and categorized by similarity between contents. Results: 229 articles were identified, and five were included in the final sample and organized into the categories: Emotional impact; and Understanding nursing role. The level of evidence found was moderate. Final considerations: nursing experiences are permeated by emotional exhaustion, feelings of frustration and difficulty in understanding their professional role. The need for training spaces that qualify this care is highlighted.
RESUMEN Objetivo: sintetizar evidencia de estudios cualitativos sobre experiencias de enfermería en la atención a la salud mental de niños y adolescentes en servicios especializados. Método: revisión sistemática, con metasíntesis de estudios cualitativos, según directrices del JBI. Se utilizaron las bases de datos CINAHL, EMBASE, MEDLINE, LILACS, PSYCinfo, Scopus y Web of Science. Los hallazgos se clasificaron según el nivel de confiabilidad y credibilidad, y se categorizaron según la similitud entre los contenidos. Resultados: se identificaron 229 artículos, cinco de los cuales fueron incluidos en la muestra final y organizados en categorías: Impacto emocional; y Comprender el papel de la enfermería. El nivel de evidencia encontrado fue moderado. Consideraciones finales: las experiencias de enfermería están permeadas por agotamiento emocional, sentimientos de frustración y dificultad para comprender su lugar profesional. Se destaca la necesidad de espacios de formación que cualifiquen esta atención.
RESUMO Objetivo: sintetizar as evidências de estudos qualitativos sobre as experiências da enfermagem frente ao cuidado em saúde mental infantojuvenil em serviços especializados. Método: revisão sistemática, com metassíntese de estudos qualitativos, segundo as diretrizes do JBI. Utilizaram-se as bases de dados CINAHL, EMBASE, MEDLINE, LILACS, PSYCinfo, Scopus e Web of Science. Os achados foram classificados segundo o nível de confiabilidade e credibilidade, e categorizados pela similaridade entre os conteúdos. Resultados: 229 artigos foram identificados, e cinco foram incluídos na amostra final e organizados nas categorias: Impacto emocional; e Compreensão do papel da enfermagem. O nível de evidência encontrado foi moderado. Considerações finais: as experiências da enfermagem são permeadas por desgaste emocional, sentimento de frustração e dificuldade de compreender o seu lugar profissional. Destaca-se a necessidade de espaços formativos que qualifiquem este cuidado.
RESUMEN
The brown seaweed Spatoglossum schröederi synthesizes three bioactive fucoidans, the most abundant of which is fucan A. This fucoidan was extracted and its identity was confirmed by chemical analysis, Fourier-transform infrared spectroscopy (FTIR), and agarose gel electrophoresis. Thereafter, silver nanoparticles containing fucan A (AgFuc) were produced using an environmentally friendly synthesis method. AgFuc synthesis was analyzed via UV-vis spectroscopy and FTIR, which confirmed the presence of both silver and fucan A in the AgFuc product. Dynamic light scattering (DLS), X-ray diffraction, scanning electron microscopy, and atomic force microscopy revealed that the AgFuc particles were ~180.0 nm in size and spherical in shape. DLS further demonstrated that AgFuc was stable for five months. Coupled plasma optical emission spectrometry showed that the AgFuc particles contained 5% silver and 95% sugar. AgFuc was shown to be more effective in inhibiting the ability of parasites to reduce MTT than fucan A or silver, regardless of treatment time. In addition, AgFuc induced the death of ~60% of parasites by necrosis and ~17% by apoptosis. Therefore, AgFuc induces damage to the parasites' mitochondria, which suggests that it is an anti-Trypanosoma cruzi agent. This is the first study to analyze silver nanoparticles containing fucan as an anti-Trypanosoma cruzi agent. Our data indicate that AgFuc nanoparticles have potential therapeutic applications, which should be determined via preclinical in vitro and in vivo studies.
RESUMEN
Dysregulation of GABAergic neurotransmission has long been implicated in several psychiatric disorders, including schizophrenia, depression, and anxiety disorders. Alpha 5 subunit-containing GABAA receptors (α5-GABAAR), which are expressed mainly by pyramidal neurons in the hippocampus, have been proposed as a potential target to treat these psychiatric disorders. Here, we evaluated the effects produced by GL-II-73 and SH-053-2'F-R-CH3 (1, 5, and 10 mg/kg), two positive allosteric modulators of α5-GABAAR in behavioral tests sensitive to drugs with anxiolytic, antidepressant, and antipsychotic properties in male and female C57BL/6 mice. In both males and females, GL-II-73 produced an anxiolytic-like effect in the elevated plus-maze (EPM) and novelty-suppressed feeding and a rapid and sustained antidepressant-like effect in the forced swim test. GL-II-73 also induced antipsychotic-like effects in males indicated by attenuating MK-801-induced hyperlocomotion and prepulse inhibition (PPI) disruption. However, GL-II-73 per se increased locomotor activity and impaired fear memory extinction in males and females and PPI in males. On the other hand, SH-053-2'F-R-CH3 induced anxiolytic-like effects in the EPM and facilitated fear memory extinction in males. Contrary to GL-II-73, SH-053-2'F-R-CH3 attenuated MK-801-induced hyperlocomotion and PPI disruption in females but not in males. Neither of these drugs induced rewarding effects or impaired motor coordination. These findings suggest that GL-II-73 and SH-053-2'F-R-CH3 cause distinct sex-dependent behavioral responses and support continued preclinical research on the potential of positive allosteric modulators of α5-GABAAR for the treatment of psychiatric disorders.
Asunto(s)
Ansiolíticos , Antipsicóticos , Animales , Ansiolíticos/farmacología , Benzodiazepinas/farmacología , Maleato de Dizocilpina , Femenino , Humanos , Masculino , Ratones , Ratones Endogámicos C57BL , Receptores de GABA-A , Ácido gamma-AminobutíricoRESUMEN
Arsenic (As) is a naturally occurring element in the Earth's crust, exhibiting toxicity towards a wide range of living organisms. Its properties and environmental dynamics are strongly regulated by its speciation, and the species As(III) and As(V) are the most commonly found in environmental systems. Recently, high concentrations of As were found in saline-alkaline lakes of the Pantanal (Brazil), which is the largest wetland area in the world. Therefore, we evaluated As contamination and its redox speciation (As(III) and As(V)) at the soil/water interface of biogeochemically distinct saline-alkaline lakes of Pantanal wetlands (Brazil). Both conventional sampling and in situ diffusive gradients in thin films (DGT) technique were employed. Zirconium oxide and 3-mercaptopropyl were used as ligand phases in DGT to selectively bind As species. High concentrations of total dissolved As in a shallow water table were found (<2337.5 µg L-1), whereas levels in soils were up to 2.4 µg g-1. Distinct scenarios were observed when comparing speciation analysis through spot sampling and DGT. Considering spot sampling, As(V) was the main species detected, whereas As(III) was only detected in only a few samples (<4.2 µg L-1). Conversely, results obtained by DGT showed that labile As(III) dominated arsenic speciation at the soil/water interface with levels up to 203.0 µg L-1. Coupling DGT data and DGT induced fluxes in sediments and soils model allowed obtaining kinetic data, showing that the soil barely participated in the arsenic dynamics on the shore of the lakes, and that this participation depends on the evapoconcentration process occurring in the region. Therefore, soil acts like a nonreactive matrix depending on the natural concentration process. In addition, our results reinforced the different geochemical characteristics of the studied saline-alkaline lakes and highlights the importance of robust passive sampling techniques in the context of metal/metalloid speciation in environmental analysis.
Asunto(s)
Arsénico , Contaminantes Químicos del Agua , Arsénico/análisis , Brasil , Monitoreo del Ambiente , Lagos , Suelo , Agua , Contaminantes Químicos del Agua/análisisRESUMEN
OBJECTIVE: To evaluate the association between some indicators of adiposity and markers of metabolic disorder, evaluate their performance in predicting metabolic syndrome (MetS), and identify their cutoff values among older adults, both in the overall sample and according to sex. METHODS: Cross-sectional study in 159 older men and women. MetS was defined according to the harmonized criteria. The assessments included waist circumference (WC), waist-to-height ratio (WHtR), conicity index (C index), lipid accumulation product (LAP), visceral adiposity index (VAI), body mass index (BMI), A body shape index (ABSI), area under the receiver operating characteristic curve (AUC), sensitivity, and specificity. RESULTS: LAP and WHtR resulted in the largest AUC values (>0.80). In both sexes, the best indicators were LAP, WC, and WHtR. Both LAP and WHtR presented the highest Youden's index values in the overall sample, with cutoff values of approximately 46.9 (sensitivity 75.0%, specificity 76.7%) and 0.56 (sensitivity 79.3%, specificity 69.8%), respectively. When analyzed by sex, BMI, WC, WHtR, and LAP yielded the highest Youden's index values for the prediction of MetS in older women. CONCLUSION: The indicators LAP, WC, and WHtR performed well in identifying the presence of MetS in older women and could be used to individually or collectively assess and monitor MetS.
Asunto(s)
Síndrome Metabólico , Adiposidad , Anciano , Índice de Masa Corporal , Estudios Transversales , Femenino , Humanos , Masculino , Síndrome Metabólico/diagnóstico , Curva ROC , Circunferencia de la Cintura , Relación Cintura-EstaturaRESUMEN
Tsunamis and hurricanes are two earth surface processes that can dramatically impact coastal landforms and ecosystems. This study uses a combination of palynological, grain-size, X-ray fluorescence, and loss-on-ignition analyses, short-lived isotopic and radiocarbon dating, and statistical analysis to differentiate the tsunami and hurricane deposits, establish a Late-Holocene record of extreme events, and document the landscape and vegetation transformation in response to disturbance events and environmental changes from a small coastal lagoon in Baja California, Mexico. Prior to ~530 cal yr BP, Playa Los Cocos was occupied by a short-hydroperiod tidal marsh bounded by desert vegetation on the surrounding hillslopes. At ~530 cal yr BP, a tsunami created a backbarrier lagoon and introduced mangrove propagules from other coastal localities, and the lagoonal environment and substrates also provided suitable habitats for red mangroves to proliferate. Once established, red mangrove populations rapidly expanded until ~180 cal yr BP, when modern human activities diminished the mangrove forest in our study area. Overall, the multi-proxy dataset revealed four hurricane events at ~770, ~600, ~280, and ~0 cal yr BP, and one tsunami event at ~530 cal yr BP. The hurricane deposits were preserved in the form of fluvial and slope-wash deposits characterized by low organic and water contents, low concentration of marine elements, and high concentration of terrestrial elements. The tsunami run-up deposits are characterized by abundant broken and intact sea shells, high content of carbonate and marine elements, low concentration of terrestrial elements, and sharp basal contact with the underlying sediments. The tsunami backwash deposits are characterized by a mixed physical and chemical signature resembling both marine and terrestrial sediments. Results also suggest that both hurricanes and tsunamis can help propagule dispersal and create suitable coastal habitats favorable for the spread and proliferation of mangroves in a desert coastal environment.
Asunto(s)
Tormentas Ciclónicas , Ecosistema , Humanos , México , Tsunamis , HumedalesRESUMEN
The production of ergosterol lipid involves the activity of different enzymes and is a crucial event for the Leishmania membrane homeostasis. Such enzymes can be blocked by azoles and allylamines drugs, such as the antifungal butenafine chloride. This drug was active on parasites that cause cutaneous and visceral leishmaniasis. Based on the leishmanicidal activity of butenafine chloride and considering the absence of reports about the therapeutic potential of this drug in cutaneous leishmaniasis, the present work is aimed at analyzing the efficacy of butenafine formulated in two different topical delivery systems, the self-nanoemulsifying drug delivery systems (BUT-SNEDDS) and in a SNEDDS-based nanogel (BUT-SNEDDS gel) as well as in the free form in experimental cutaneous leishmaniasis. Physical studies showed that both formulations were below 300 nm with low polydispersity (<0.5) and good colloidal stability (around -25 mV). Increased steady-state flux was reported for nanoenabled butenafine formulations with reduced lag time in Franz cell diffusion assays across Strat-M membranes. No toxic or inflammatory reactions were detected in animals treated with BUT-SNEDDS, BUT-SNEDDS gel, or butenafine. Animals topically treated with butenafine (free or nanoformulated) showed small dermal lesions and low tissue parasitism. Furthermore, BUT-SNEDD gel and butenafine presented similar efficacy than the standard drug Glucantime given by the intralesional route. Increased levels of IFN-γ were observed in animals treated with BUT-SNEDDS gel or butenafine. Based on these data, the antifungal drug butenafine chloride can be considered an interesting repurposed drug for the treatment of cutaneous leishmaniasis.
Asunto(s)
Antiinflamatorios/uso terapéutico , Antifúngicos/uso terapéutico , Bencilaminas/uso terapéutico , Leishmania/fisiología , Leishmaniasis Cutánea/tratamiento farmacológico , Naftalenos/uso terapéutico , Administración Tópica , Animales , Sistemas de Liberación de Medicamentos , Reposicionamiento de Medicamentos , Emulsiones , Femenino , Humanos , Interferón gamma/metabolismo , Ratones , Ratones Endogámicos BALB C , Modelos Animales , NanoestructurasRESUMEN
BACKGROUND: Bacaba (Oenocarpus bacaba Mart.) has a high yield of oil, with the potential to produce biologically active natural products and can be considered a new "superfruit" with high value added. METHODS: Acid value, peroxide value, refractive index, saponification value, p-anisidine value, relative density, iodine value, total oxidation value, specific extinction coefficients at 232 and 270 nm (K232 and K270), ΔK, and color were determined. RESULTS: The most significant changes in the quality values, such as peroxide (26.25 mEq·kg-1), p-anisidine (11.41), acidity (14.66 mg KOH·g-1 oil), and total oxidation (63.92) were determined for 15 min of microwave heating. CONCLUSIONS: The microwave heating promoted the acceleration of oxidative processes showing that, overall, much care should be taken when heating the bacaba oil by microwave to avoid oil degradation.